| National Provider Identifier [NPI]: | 1891782074 |
| Last Name Of The Provider | MOELLER |
| First Name Of The Provider | DAVID |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3200 PROVIDENCE DR |
| Street Address 2 Of The Provider | |
| City Of The Provider | ANCHORAGE |
| Zip Code Of The Provider | 995084661 |
| State Code Of The Provider | AK |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 225 |
| Number Of Services | 8211 |
| Number Of Medicare Beneficiaries | 3225 |
| Total Submitted Charge Amount | 1087178 |
| Total Medicare Allowed Amount | 278684.67 |
| Total Medicare Payment Amount | 218231.21 |
| Total Medicare Standardized Payment Amount | 171980.51 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 2253 |
| Number Of Medicare Beneficiaries With Drug Services | 26 |
| Total Drug Submitted ChargeAmount | 2509 |
| Total Drug Medicare AllowedAmount | 742.56 |
| Total Drug Medicare PaymentAmount | 572.41 |
| Total Drug Medicare Standardized Payment Amount | 572.41 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 222 |
| Number Of Medical Services | 5958 |
| Number Of Medicare Beneficiaries With Medical Services | 3224 |
| Total Medical Submitted Charge Amount | 1084669 |
| Total Medical Medicare Allowed Amount | 277942.11 |
| Total Medical Medicare Payment Amount | 217658.8 |
| Total Medical Medicare Standardized Payment Amount | 171408.1 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 592 |
| Number Of Beneficiaries Age 65 to 74 | 1461 |
| Number Of Beneficiaries Age 75 to 84 | 874 |
| Number Of Beneficiaries Age Greater 84 | 298 |
| Number Of Female Beneficiaries | 2241 |
| Number Of Male Beneficiaries | 984 |
| Number Of Non Hispanic White Beneficiaries | 2508 |
| Number Of Black or African American Beneficiaries | 173 |
| Number Of AsianPacific Islander Beneficiaries | 229 |
| Number Of Hispanic Beneficiaries | 125 |
| Number Of American Indian Alaska Native Beneficiaries | 128 |
| Number Of Beneficiaries With Race Not Else where Classified | 62 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2237 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 988 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 30 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 19 |
| Percent Of With Depression | 23 |
| Percent Of With Diabetes | 32 |
| Percent Of With Hyperlipidemia | 45 |
| Percent Of With Hypertension | 66 |
| Percent Of With Ischemic Heart Disease | 34 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 39 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.4404 |